Blue Cross and Blue Shield Association logo

Community Resource Navigator - Remote (PA/NJ/DE)

Blue Cross and Blue Shield Association

  • Philadelphia, PA
  • 7 days ago
  • Remote
    Want to know if you’re a fit?
    Upload your resume and let our AI show you.

    Skills

    • Case Managementunmatched
    • Clinical Nursingunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Community and Social Servicesunmatched
    • Documentationunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Interpersonal Skillsunmatched
    • Needs Assessmentunmatched
    • Organizational Skillsunmatched
    • Psychologyunmatched
    • Social Workunmatched
    • Systems/Internals Programmingunmatched
    • Team Playerunmatched

    Description

    Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.

    Under the supervision of the Case Management Manager, the Community Resource Navigator provides targeted outreach to members predicted to be experiencing social determinants of health (SDOH) challenges. This role focuses on assessing psychosocial needs, and coordinating services to address barriers such as housing instability, food insecurity, transportation, and access to care. The "Service Connector" serves as a liaison between members, families, the health plan, and community resources to promote health equity and improve member outcomes.

    Key Responsibilities:

    • Conduct outreach to members with potential SDOH-related needs and perform psychosocial assessments.
    • Educate members and families on available benefits, programs and community resources.
    • Coordinate referrals to internal programs and external agencies
    • Document all interactions and interventions in the managed care system using standardized questionnaires and templates.
    • Identify community-based services for members and build relationships with local organizations.
    • Generate internal referrals to clinical team including nurse health coaches and social workers as needed
    • Perform other duties as assigned.

    Qualifications:

    • Education: Bachelor's degree, preferred in social work, psychology or human services
    • Experience: Minimum of 3-5 years of experience, with a strong focus on addressing social determinants of health and working with vulnerable populations, including seniors
    • Skills:
    • Strong interpersonal, communication, and organizational skills
    • Proficiency in documentation and use of care management systems
    • Knowledge of community resources and social service systems

    Fully Remote:

    This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

    Numbers & Facts

    LocationPhiladelphia, PA (
    Remote
    )
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Similar Jobs